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Uncategorized Published - 4 September, 2015    By - Dr Clemens
Concurrence of Intraoperative Hypotension, Low Minimum Alveolar Concentration, and Low Bispectral Index Is Associated with Postoperative Death

Authors: Mark D Willingham MD, M.C.S.I. et al Anesthesiology Published on 8 2015 Background: An intraoperative concurrence of mean arterial pressure less than 75 mmHg, minimum alveolar concentration less than 0.8, and bispectral index less than 45 has been termed a “triple low” state. An association between triple low and postoperative mortality has been reported but was not […]

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Uncategorized Published - 4 September, 2015    By - Dr Clemens
Music Appears to Reduce Postoperative Pain, Anxiety

Patients who listen to music around the time of surgery — even while under general anesthesia — reap substantial postoperative benefits, a Lancet systematic review finds. The analysis included over 70 randomized trials in which music before, during, or after surgery was compared with usual care or non-pharmacologic interventions (e.g., white noise, bed rest). Roughly […]

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Uncategorized Published - 4 September, 2015    By - Dr Clemens
Addition of Dexamethasone and Buprenorphine to Bupivacaine Sciatic Nerve Block: A Randomized Controlled Trial

Regional Anesthesia & Pain Medicine: July/August 2015-Volume 40-Issue 4-p 321-329 Authors: YaDeau, Jacques T. MD, PhD et al Background and Objectives: Sciatic nerve block provides analgesia after foot and ankle surgery, but block duration may be insufficient. We hypothesized that perineural dexamethasone and buprenorphine would reduce pain scores at 24 hours. Methods: Ninety patients received […]

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Uncategorized Published - 4 September, 2015    By - Dr Clemens
Low Cerebral Oxygenation Levels during Resuscitation in Out-of-hospital Cardiac Arrest Are Associated with Hyperfibrinolysis

Authors: Anne Duvekot, MD et al Anesthesiology Published on 8 2015 Background: The authors investigated whether patients with out-of-hospital cardiac arrest with an initial low cerebral oxygen level during cardiopulmonary resuscitation are more prone to develop hyperfibrinolysis than patients with normal cerebral oxygenation levels and which part of the fibrinolytic system is involved in this response. Methods: In 46 […]

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Uncategorized Published - 3 September, 2015    By - Dr Clemens
A randomised controlled trial comparing three analgesia regimens following total knee joint replacement: continuous femoral nerve block, intrathecal morphine or both

Anaesth Intensive Care. 2015 Jul;43(4):454-60 Authors: Olive DJ et al Abstract This randomised controlled trial compared three analgesia regimens following primary unilateral total knee joint replacement: continuous femoral nerve block (CFNB), intrathecal morphine (ITM), and both. The primary outcome was pain ratings over the first 24 hours. Secondary outcomes included morphine consumption, nausea, pruritus and […]

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